IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

More documents

Recommendations

Info

IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________8406.2.2.10 Medications Administered (Cardiac) SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.10Parent Template 2.16.840.1.113883.10.20.18.2.8General DescriptionThe Medications Administered (Cardiac) section defines medications and fluidsadministered during a cardiac imaging procedure, excluding anesthetic medications.LOINC CodeDescription29549-3 MEDICATIONS ADMINISTEREDEntries Opt Description2.16.840.1.113883.10.20.1.24 R2 Medication activity (CCD)If medications were administered, Medication Activity Entry SHOULD use the values of ValueSet 1.3.6.1.4.1.19376.1.4.1.5.15 Drug Classes Used in Cardiac Procedure.6.2.2.11 Procedure Findings (Cardiac) SectionTemplate ID 1.3.6.1.4.1.19376.1.4.1.2.11Parent Template 2.16.840.1.113883.10.20.18.2.15General DescriptionThe Cardiac Procedure Findings section records clinically significant observationsconfirmed or discovered during the procedure.LOINC CodeDescription59776-5 PROCEDURE FINDINGSSubsections Opt DescriptionO Constituent procedure or technique (see requirement below)1.3.6.1.4.1.19376.1.4.1.2.13 O Comparison to prior study (Cardiac) (Card TF-2: 6.2.2.13)Entries Opt Description1.3.6.1.4.1.19376.1.5.3.1.4.13 C Simple Observations (PCC TF-2) (For use, see requirements below)1.3.6.1.4.1.19376.1.4.1.4.3 C 17-Segment Wall Analysis1.3.6.1.4.1.19376.1.4.1.4.4 C Projection Angiography Wall Analysis1.3.6.1.4.1.19376.1.4.1.4.5 C Coronary Angiography Arterial Analysis1.3.6.1.4.1.19376.1.4.1.4.6 C Pericardial Effusion845850For combined procedures (e.g., CACS and CCTA), findings for each constituent procedureMAY be described in a subsection of Procedure Findings. For stress tests that use ECG andimaging techniques, findings for each technique MAY be described in a subsection of ProcedureFindings. The section/title of each subsection SHOULD identify the constituent procedureor technique; the section/code MAY be absent. The narrative and entries of the subsectionSHALL describe the findings of the constituent procedure or technique.__________________________________________________________________________36Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
IHE Cardiology Technical Framework Supplement – Cardiac Imaging Report Content (CIRC)______________________________________________________________________________855860865The Procedure Findings (Cardiac) Section and its sub-sections SHALL include SimpleObservation Entries dependent on the type of procedure performed. For each row in Table6.2.2.11-1 one entry SHALL (R), SHOULD (R2), or MAY (O) be present in accordance with thecondition (column 1), using the specified observation/code (column 2), data type (column 3), andUnit of Measure code (column 4). For CD data types, a value from the specified value set(column 5) SHOULD be used.Observation concepts in Table 6.2.2.11-1 for which the observation was not performed (or notassessed) MAY be represented in a Simple Observation Entry with a value using an HL7 NullFlavor. Explicit observations of conditions known to not be present SHALL be represented witha compositional SNOMED CT code with qualifier [ 408729009 | finding context | = 410516002 |known absent ].The 17-Segment Wall Analysis Entry SHALL be present if the procedure was a stress SPECT,stress PET, stress TTE, or stress CMR.The Projection Angiography Wall Analysis Entry SHOULD be present if the procedure includeda left ventriculogram.The Coronary Angiography Arterial Analysis Entry SHALL be present if the procedure was aCCTA or ICA.870Note: many of the following concepts still need to be modeled before Trial ImplementationTable 6.2.2.11-1 Procedure Findings (Cardiac) ObservationsOCondition observation/code DataTypeBaseline ECG: Q-wavepathology(Optional)ASSERTION HL7ActCode(2.16.840.1.113883.5.4)Unit ofMeasureValue SetIndicate if pathologic Qwaves were present on thebaseline electrocardiogram(leads).Choose 1 of the following:● Yes● No● N/AR2 - CCTA, SPECT,CMR251149006: 246090004=128974000 SNOMED CTBaseline ECG Rhythm164918000:246090004=1289740001.3.6.1.4.1.19376.1.4.1.5.17Rhythm FindingsOBaseline ECG: ST-segmentdepression(Optional)Indicate if there wasnegative deflection belowthe isoelectric line greaterthan or equal to 0.1 mV onthe electrocardiogram (inmm).Choose 1 of the following:__________________________________________________________________________37Rev. 1.0 – 2011-04-22Copyright © 2011: IHE International, Inc.
Page 2 and 3: IHE Cardiology Technical Framework
Page 76 and 77: ACC Key Data ElementsThe following
Page 86 and 87:
IHE Cardiology Technical Framework
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
show all

IHE Cardiology Technical Framework Supplement Cardiac Imaging ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?